The very unusual case of a 35-year-old obese male patient with a left ventricular (LV) thrombus secondary to a silent myocardial infarction and resultant shower emboli to multiple arterial sites is described. His presentation with acute limb ischemia led to arterial imaging and the identifi cation of the underlying cardiac pathology in addition to splenic and bilateral renal infarcts. He was also found to suffer from previously undiagnosed hypertension. He underwent femoral embolectomy and multiple arterial revascularization attempts but required bilateral above knee amputations and a prolonged intensive care unit stay. This rare and extreme example of a LV thrombus in a young male emphasizes the potential sequellae of the condition. Furthermore, with the increasing incidence of obesity this case demonstrates the importance of considering undiagnosed cardiovascular risk factors when assessing obese patients.

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Journal of Cardiovascular Disease Research (J Cardiovasc. Dis. Res.) [www.jcdronline.org] J Cardiovasc. Dis. Res. [ISSN: Print -0975-3583, Online - 0976-2833] An official publication of Phcog.Net (Foremerly Scibiolmed.Org (www.phcog.net), it is a double-blind peer-reviewed, open access international circulating professional journal led by a group of research scientists, vascular disease experts and cardiologists coming from North America, Asia and Europe etc. All manuscripts contributed to JCDR are examined by the editorial staff and usually evaluated by 3 peer expert reviewers assigned by the editors with the understanding that they have not been published previously and are not under consideration for publication elsewhere. Journal is being published quarterly